I have read and agree to the Application Agreement. Click Here to read Application Agreement.
Application Fees are $50.00
(NOTE:  An application will not be processed until fee is received.)
Property Information
Type of Apartment desired (1BR, 2BR Flat/Garden, 2BR Townhouse):
Desired date to take occupancy:
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Date Submitted

08-12-2020
Applicant Information
First:
Middle Initial:
Last:
Date of Birth:
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SSN:
Home Number:
Cell Number:
Email:
Automobile Information
Make:
Model:
Year:
Color:
License plate#:
State:

Make:
Model:
Year:
Color:
License plate#:
State:

Any other name(s) used (including maiden name): 
Spouse's name: 
Residential History
Current Address
Street1:
Street2:
City:
State: Zip:
Residency: Rent   Own
Employment Information
Employment Status
Full-Time   Part-Time   Retired   Student   Self-Employed   Unemployed  
If Retired, Student, Self-Employed or Unemployed what is your Monthly income?
Current Employer
Employer:
Address:
City:
State:
Zip:
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Monthly Income:
Start Date:
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Previous Employer
Employer:
Address:
City:
State:
  Zip: 
Phone Number:
  Ext:
Supervisor Name:

Supervisor Number:
  Ext:

Your Title/Position:

Monthly Income:
Start Date:
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End Date:
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Pets
Do you have Pets?
Yes   No
Occupants:
Please list all people who will reside in the residence: 

Four Personal References

Please give current or former residents of D'Iberville Apartments if possible

First:
Middle:
Last:
Cell Phone:
First:
Middle:
Last:
Cell Phone:
First:
Middle:
Last:
Cell Phone:
First:
Middle:
Last:
Cell Phone:

Additional Comments or Notes
Application Completion

NOTE: Non-refundable pet fee of $250 and $500 DEPOSIT FOR PET PLUS $10.00 ADDITIONAL RENT PER MONTH FOR PET. LIMIT 2 DOGS OR 2 CATS WEIGHING LESS THAN 75 POUNDS EACH. BEFORE SECURING PET, YOU MUST OBTAIN THE LESSOR'S PRIOR WRITTEN CONSENT AND SIGN A PET LICENSE AGREEMENT. NO PIT BULL OR PIT BULL MIXED BREEDS ALLOWED. THE LESSOR RESERVES THE RIGHT TO WITHHOLD ITS CONSENT FOR ANY REASON AT ITS SOLE DISCRETION.

DISCLOSURE AND AUTHORIZATION

The undersigned declares that the information on this rental application is true and correct, and understands that false statements may result in rejection of this and any future applications for housing we manage.  The undersigned does further understand that all persons or firms associated with D'Iberville Apartments may freely give any requested information concerning me.

I also hereby authorize D'Iberville Apartments to verify my past and present employment, bank references, previous residences and/or any information given for the purposes of renting and/or leasing through D'Iberville Apartments including but not limited to a credit check.  I further understand and agree that D'Iberville Apartments will rely upon this rental application as an inducement for entering into a rental agreement or lease and I warrant that the facts contained in this application are true.  If any facts prove to be untrue, D'Iberville Apartments may terminate my tenancy immediately and collect from me any damages incurred including reasonable attorney fees resulting there from.  D'Iberville Apartments welcomes all applicants and supports fair housing.  We do not refuse to lease or rent any housing accommodations or property nor in any other way discriminate against a person because of sex, marital status, race, creed, religion, age, familial status, physical or mental handicap, color or national origin.

Investigational Background Search Disclosure

D'Iberville Apartments conducts applicant screening on persons applying to live in our managed properties, such screenings may include criminal background investigations.  Prior to acceptance of an applicant, we may use an independent consumer reporting agency to search public records which may contain criminal background information regarding the applicant.  D'Iberville Apartments will determine if the criminal background information pertains to the applicant and if the report indicates that one or more such felony and or misdemeanor records were found.  We will then compare the records to our established acceptance policies to determine whether or not the applicant may be accepted.  If your application is declined based on the discovery of public records that indicate an unacceptable criminal background, you will be given the name, address, and telephone number of the consumer reporting agency that provided the criminal background report.  An applicant who is declined based on a criminal background may obtain a free copy of the report and may initiate a reinvestigation to have any erroneous information contained in the report corrected.  The consumer reporting agency will advise you of the procedures that you should follow in order to do so.

Valid Photo Identification must be presented prior to final approval of this application.

I, the undersigned Applicant, agree to the above terms and do hereby swear (or affirm) that the information supplied herein is true and complete, to the best of my knowledge and belief.  By clicking "Apply Now" you agree to the terms stated above.  Please enter your full name to signify your digital signature, thereby confirming that you have read and agree with all the above statements and have provided complete and accurate information.  Applicant authorizes verification of references given and declares that the statements made in this application are true and correct and agrees that the landlord may terminate the contract entered into in reliance on any misstatement made in this application.


APPLICANT SIGNATURE: 




   
Database Info:  DBERVILL_112281  DIB_Diberville